<%@ page language="java" contentType="text/html; charset=UTF-8"
pageEncoding="UTF-8"%>
<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c" %>
<%@ taglib prefix="fmt" uri="http://java.sun.com/jsp/jstl/fmt"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html><head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>登录</title>
<link href="css/bootstrap.css" rel="stylesheet">
<style>
		
		#rdiv{padding-left: 800px;}
	</style>
</head>
<body>
	<div class="container frame">
		<div class="row">
			<div class="col-md-12 btn-primary">
				<h1 class="text-center">注册康达挂号用户</h1>
			</div>
		</div>
		<div class="row">
			<div class="col-md-12">
				<h1 class="text-center">注册</h1>
			</div>
		</div>
		
		<div class="row">
			<div class="col-md-12">
				<form class="form-horizontal" action="" method="post">
				<div class="form-group">
					<label for="inputname3" class="col-sm-2 control-label">昵称</label>
					<div class="col-sm-10">
					  <input type="text" name="name" class="form-control" id="inputnmae3" placeholder="请输入昵称...">
					</div>
				  </div>
				  <div class="form-group">
					<label for="inputloginName3" class="col-sm-2 control-label">用户名</label>
					<div class="col-sm-10">
					  <input type="text" name="loginName" class="form-control" id="inputloginName3" placeholder="请输入用户名..." value="">
					</div>
				  </div>
				  <div class="form-group">
					<label for="inputPassword3" class="col-sm-2 control-label">密码</label>
					<div class="col-sm-10">
					  <input type="password" name="loginPwd" class="form-control" id="inputPassword3" placeholder="请输入密码...">
					</div>
				  </div>
				  <div class="form-group">
					<label for="inputEmail3" class="col-sm-2 control-label">充值金额</label>
					<div class="col-sm-10">
					  <input type="text" name="balance" class="form-control" id="inputEmail3" placeholder="请输入金额...">
					</div>
				  </div>
				  <div class="form-group">
					<label for="inputEmail3" class="col-sm-2 control-label">电话</label>
					<div class="col-sm-10">
					  <input type="text" name="phone" class="form-control" id="inputEmail3" placeholder="请输入您的手机号码...">
					</div>
				  </div>
				  <div class="form-group">
					<div class="col-sm-offset-2 col-sm-10">
					 <button type="submit" class="btn btn-primary">注册</button>
					<a href="login"><button type="button" class="btn btn-default" data-dismiss="modal">登录</button></a>
					</div>
				  </div>
				</form>
			</div>
		</div>
		<div class="row">
			<div class="col-md-12">
				<!-- 底部版权 -->
				<div class="panel panel-default text-center">
				  <div class="panel-body">
					医院 xda.cn <br>
					Designed by fan wu
				  </div>
				</div>
				<!-- END底部版权 -->
			</div>
		</div>
	</div>
    <script src="js/jquery-1.htm"></script>
    <script src="js/bootstrap.js"></script>
  

</body></html>